BackTable Urology

Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress.---SYNPOSISThey review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer.---TIMESTAMPS00:00 - Introduction03:49 - NIAGARA Trial09:10 - Challenges in Bladder Cancer Treatment18:56 - AMBASSADOR Trial25:30 - Adjuvant Immunotherapy29:30 - Exploring Biomarkers and ctDNA36:34 - Surgery and Less Invasive Therapies46:31 - Future Directions in Bladder Cancer Treatment---RESOURCESESMOhttps://www.esmo.org/

Inequality persists in pay and career advancement between male and female urologists. In this episode of the BackTable Urology Podcast, Dr. Suzette Sutherland hosts Dr. Yahir Santiago-Lastra from the University of California San Diego. They discuss the gender wage gap in medicine, particularly amongst urologists.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISDr. Santiago, a Latina from Puerto Rico and a first-generation physician, highlights the latest data on pay, research funding, and professional advancement for women physicians. They debunk common myths, discuss the importance of transparency, and emphasize the need for inclusive work environments. The conversation also covers the economic phenomena underlying current discrepancies and the benefits of fostering diversity. This episode offers valuable insights for leaders on retaining and nurturing talent within their organizations.---TIMESTAMPS00:00 - Introduction06:28 - Impact of Menopause and Women’s Health10:33 - Gender Gaps in Urology31:52 - The Meritocracy Myth35:56 - The Abrasiveness Trap and Gender Schema40:04 - Navigating Work Personalities47:54 - Leadership and Inclusivity in Organizations51:30 - Tokenism vs. True Inclusion56:58 - The Benefits of a Diverse Workforce---RESOURCESPhotocurehttps://www.photocure.com/

What does recent research say about the role of perirectal spacers in prostate cancer treatment? In this episode of the BackTable Urology Podcast, host Dr. Jose Silva discusses the use of perirectal spacers for prostate radiotherapy with guests Dr. Eric Chenven, Chief of Urology at Broward Health Medical Center, and Dr. Nadim Nasr, a radiation oncologist at Arlington Radiation Oncology.---This podcast is supported by:Boston Scientific SpaceOAR Hydrogelhttps://www.spaceoar.com/about-spaceoar-hydrogel/how-spaceoar-hydrogel-works/?utm_source=google&utm_medium=cpc&utm_campaign=uro-ph-us-spaceoar-dtp&utm_content=nf-cs-prostatecancer_search_en_us_brand_conversion_dtp_uro-spaceoar-651995397243-res&gad_source=1&gclid=CjwKCAjw9eO3BhBNEiwAoc0-jTE63KEHSnZ1soXre9ovVRqweY2QctIuZ_iN2QUjk6Px4k6fK1757BoCVNgQAvD_BwE---SYNPOSISTheir conversation delves into the use of Boston Scientific’s SpaceOAR hydrogel to reduce radiation exposure to the rectum. The experts elaborate on the techniques and logistical challenges of placing spacers, as well as their effects on patient outcomes. They also discuss insurance hurdles, use of sedation, fiducial marker placement, and the impact of large prostate size on treatment efficacy. Finally, they touch on Barrigel, the newest spacer option. This episode emphasizes the need for collaboration between urologists and radiation oncologists to improve patient care.---TIMESTAMPS00:00 - Introduction06:33 - Importance of Perirectal Spacing11:17 - Techniques and Protocols13:00 - Barrigel: The New Option14:58 - Challenges and Practical Considerations24:55 - Future Directions---RESOURCESBoston Scientific SpaceOARhttps://www.bostonscientific.com/en-US/products/hydrogel-spacers/spaceoar-hydrogel.htmlURO108 - Minimizing Radiation Therapy Side Effectshttps://www.backtable.com/shows/urology/podcasts/108/minimizing-radiation-therapy-side-effectsURO123 - Perfecting Rectal Spacer Placement for Optimal Carehttps://www.backtable.com/shows/urology/podcasts/123/perfecting-rectal-spacer-placement-for-optimal-care

Learn how Advanced Practice Providers (APPs) can boost workflow efficiency and improve patient experience in your urology practice. In this episode of the BackTable Urology podcast, host Dr. Jose Silva speaks with Dr. Arpeet Shah and advanced practice nurse (APN) Nicole Hollander, about the role of APPs in benign prostate hyperplasia (BPH) patient care.---CHECK OUT OUR SPONSORBoston Scientific Rezum Water Vapor Therapyhttps://www.bostonscientific.com/rezum---SYNPOSISHollander and Shah discuss the importance of effective APP training and onboarding. Dr. Shah shares his wisdom on structuring an APP program to ensure that new practitioners are educated, compliant, and satisfied; all while helping to address the current urologist shortage. The discussion also covers BPH workflows, effective follow-up, and staying up to date on evolving medical knowledge in the context of innovations such as GreenLight Laser and UroCuff.---TIMESTAMPS00:00 - Introduction06:58 - Nicole’s APP Journey07:42 - Training APPs12:22 - BPH Workflow21:04 - Deciding on Procedures for BPH26:40 - Rezum33:40 - Ensuring APP Clinical Excellence and Compliance36:34 - APP Career Development and Retention40:31 - Looking Ahead

Did you know that robotic prostatectomy has its roots in both the immigrant experience and the renowned manufacturing legacy of Detroit? In this episode of BackTable Urology, Dr. Mani Menon, a pioneer in robotic surgery, joins Dr. Aditya Bagrodia to discuss the development of robotic prostatectomy technology.---CHECK OUT OUR SPONSORSSiemens Healthineers Theranosticshttps://www.siemens-healthineers.com/en-us/clinical-specialities/theranosticsPhotocurehttps://www.photocure.com/---SYNPOSISDr. Menon reflects on how robotic prostatectomy techniques have evolved over his career. He shares his journey from India to the United States, highlighting his trailblazing work at the Vattikuti Urology Institute at Henry Ford Hospital. He also talks about the challenges of working with robotic technology, recent advancements in the field, and what the future may hold for robotic surgery.---TIMESTAMPS00:00 - Introduction03:05 - Dr. Menon’s Early Life06:51 - Experiences of an International Medical Graduate19:51 - The Move to Henry Ford36:44 - Transitioning to Robotic Surgery41:36 - Patient Outcomes and Reflections47:50 - Technological Advancements in Surgery55:52 - Looking Ahead---RESOURCESPhotocurehttps://www.photocure.com/Siemens Healthineershttps://www.siemens-healthineers.com/en-us/urology-equipment

What is the role of testosterone therapy in prostate cancer? Urologist Dr. Abraham Morgentaler of Beth Israel Deaconess Medical Center and Harvard Medical School joins host Dr. Jose Silva to discuss the evolution of testosterone therapies, modern testosterone treatments, and how to integrate testosterone replacement therapy into your practice.---CHECK OUT OUR SPONSORKYZATREX™https://www.kyzatrex.com---SYNPOSISDr. Morgenhaler starts by sharing his pioneering journey with testosterone replacement therapy starting in the 1980s, challenging long-held beliefs that it increases prostate cancer risk. He highlights key studies to debunk myths about testosterone’s dangers and emphasizes the ability to improve patients’ quality of life. Further, he discusses modern treatment options and provides practical advice for safely initiating testosterone replacement therapy. Finally, he discusses its use in patients with a history of prostate cancer and emphasizes the importance of individualized treatment plans.---TIMESTAMPS00:00 - Introduction03:04 - Historical Perspectives on Testosterone and Prostate Cancer21:31 - Evolution of Testosterone Treatments31:16 - Testosterone and Prostate Cancer: A Controversial History35:42 - Treating Prostate Cancer Patients with Testosterone37:12 - A Case Study43:05 - Shifting Perspectives57:15 - Final Thoughts---RESOURCEST4L Educationhttps://t4leducation.com/Marius Pharmaceuticalshttps://mariuspharma.com/Testosterone Replacement in Prostate Cancer Survivors URO98https://www.backtable.com/shows/urology/podcasts/98/testosterone-replacement-in-prostate-cancer-survivorsMen's Health & Testosterone Replacement Therapy URO114https://www.backtable.com/shows/urology/podcasts/114/mens-health-testosterone-replacement-therapyTestosterone & Hypogonadism: A Clinical Perspective URO124https://www.backtable.com/shows/urology/podcasts/124/testosterone-hypogonadism-a-clinical-perspectiveTestosterone: Navigating Options & Implementation in Clinical Practice URO 125https://www.backtable.com/shows/urology/podcasts/125/testosterone-navigating-options-implementation-in-clinical-practice

Hot off the press! The results of the 2023 American Urological Association Census findings will likely surprise listeners. In this episode of the BackTable Urology Podcast, host Dr. Suzette Sutherland is joined by Dr. Amanda North (The Children’s Hospital at Montefiore) and Dr. Matt Nielsen (University of North Carolina) to dive deep into the census data and offer a call to action for all urologists.---CHECK OUT OUR SPONSORPearsonRavitzhttps://pearsonravitz.com/backtable---SYNPOSISThe conversation covers noteworthy statistics on burnout, accessibility to mental health care, and practice patterns within the urologic community. The doctors also discuss the evolution in demographics amongst practicing urologists, improvement in diversity, equity, and inclusion initiatives, and the growing concern of workforce shortages. Finally, the episode explores the importance of this census data in informing AUA advocacy efforts to shape future government policies.---TIMESTAMPS00:00 - Introduction06:04 - The AUA Census11:20 - Demographics of Urologists in the U.S.22:48 - Trends in Private Practice and Employment38:00 - Burden of Prior Authorizations43:17 - Addressing Burnout45:29 - Diversity, Equity, and Inclusion52:43 - Conclusion---RESOURCESPearson Ravitzhttps://pearsonravitz.com/Photocurehttps://www.photocure.com/

What is the role of blue light cystoscopy in bladder cancer? In this episode, Dr. Suzette Sutherland interviews Dr. Suzanne Merrill from Colorado Urology about the benefits of this technology in the diagnosis and treatment of bladder cancer, and how to implement it into your practice.---CHECK OUT OUR SPONSORPhotocurehttps://www.photocure.com/---SYNPOSISThe doctors start by discussing the advantages of using blue light cystoscopy, including better detection rates of Ta and T1 lesions and the reduction of cancer recurrence by as much as 11%. They highlight the importance of complete transurethral resection of bladder tumor (TURBT) and patient compliance. Dr. Merrill emphasizes the necessity of accurate risk stratification and the logistics of real-life incorporation. Finally, she also comments on new bladder cancer technologies, such as narrow band imaging.---TIMESTAMPS00:00 - Introduction03:45 - Epidemiology and Risk of Bladder Cancer05:48 - AUA Guidelines for Bladder Cancer08:01 - Mechanism and Benefits of Blue Light Cystoscopy10:33 - Practical Applications34:48 - Conclusion---RESOURCESPhotocurehttps://www.photocure.com/

Empathy, social awareness, and servant leadership are important qualities for all physicians to possess. This week on the BackTable Urology Podcast, Houston Methodist urologists Dr. Raj Satkunasivam and Dr. Rose Khavari sit down with Dr. Timothy Boone to discuss developing humanistic skills in medicine.---SYNPOSISDr. Boone reflects on his personal journey into urology and his experiences in education and administration. The urologists emphasize the significance and joys of patient relationships and effective mentorship for other doctors. Furthermore, they offer advice for young urologists on self-reflection, time management, and the art of doctoring.---TIMESTAMPS00:00 - Introduction05:00 - Early Influences and Career Path24:28 - Challenges in Maintaining Empathy29:19 - The Importance of Self-Reflection33:24 - Recruitment and Retention in Leadership36:12 - Balancing Personal Life42:03 - Innovative Medical Education48:54 - Final Thoughts---RESOURCESPearson Ravitzhttps://pearsonravitz.com/BackTable URO24 - Operate with Zenhttps://www.backtable.com/shows/urology/podcasts/24/operate-with-zen

Beyond patient morbidity, complications can have a significant impact on surgeon health and relationships outside of medicine. In this episode of the PGY Pearls Series of BackTable Urology, hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia University) discuss the “second victim phenomenon” with special guest Dr. Chloe Peters, a fifth-year urology resident at the University of Washington.---SYNPOSISThe “second victim phenomenon” refers to the negative emotional response a healthcare worker endures after a traumatic patient care event. The conversation explores the psychological impacts of surgical complications as Dr. Peters describes the phases of coping. She emphasizes the need to distinguish between personal failure and professional setbacks and highlights the importance of peer and institutional support. The discussion also delves into recent cultural shifts in medicine, especially in the wake of COVID-19. The experts conclude by discussing steps for progress and improvement within the surgical work environment.---TIMESTAMPS00:00 - Introduction02:00 - Second Victim Phenomenon06:52 - Challenges for Trainees09:43 - Managing Complications17:04 - Phases of Emotions20:31 - Peer Support and Institutional Resources35:04 - Building a Supportive Training Environment---RESOURCESPearson Ravitzhttps://pearsonravitz.com/BackTable URO24- Operate with Zenhttps://www.backtable.com/shows/urology/podcasts/24/operate-with-zenBackTable URO39- The Anatomy of a Complication https://www.backtable.com/shows/urology/podcasts/39/the-anatomy-of-a-complication-surgeon-healthBackTable URO42- Mental Constructs to Avoid Complications https://www.backtable.com/shows/urology/podcasts/42/mental-constructs-to-avoid-complications